Reproductive health concerns of women contending with spousal violence and husband's alcohol... more Reproductive health concerns of women contending with spousal violence and husband's alcohol use in a Mumbai slum community
This study aimed to determine the factors influencing the use of spacing contraceptive methods in... more This study aimed to determine the factors influencing the use of spacing contraceptive methods in India, particularly from men’s perspective. Data were obtained through a semi-structured interview schedule from 2687 married men aged between 18 and 40 years from central Mumbai City, India, during 1999. Chi-squared tests and binary logistic regression analysis was carried out to determine the relationship between various variables and the likelihood of a couple using spacing contraceptive methods. Of the 2687 couples, 1395 (51·9%) were using one or other method of spacing contraceptives and 1292 (48·1%) were not using any method at the time of survey. Male participation in contraceptive use was 23% (condom and withdrawal). The results indicate that the use of spacing contraceptive methods was significantly higher among those couples where the men desired one or two children (OR=4·3), had knowledge of five or more contraceptive methods (OR=1·9) and discussed with their wives obtaining family planning information (OR=3·2), spacing (OR=2·7) and permanent (OR=2) contraceptive methods. Age, income, desired number of children, knowledge of a greater number of contraceptive methods, inter-spouse communication regarding obtaining family planning information, spacing and permanent methods were found to be strong predictors of the use of spacing contraceptive methods. The study underlines the importance of intervention programmes aimed at promoting a small family norm, increasing the number of contraceptive choices available and encouraging inter-spouse communication. Hence, policymakers and programme managers should encourage interventions in this direction, targeting couples to enhance the use of spacing contraceptive methods.
Emerging research has documented non-violent forms of abuse against wives in India. Gender-based ... more Emerging research has documented non-violent forms of abuse against wives in India. Gender-based household maltreatment (GBHM) has been linked to poor maternal and child health outcomes, but the measurement of GBHM requires statistical validation. The objective of this study is to evaluate a new measure of GBHM of women by husbands and in-laws during the perinatal period for validity and internal reliability (before, during, and post pregnancy). This study utilized cross-sectional quantitative data collected from women ( n = 1,049) seeking immunizations for their infants <6 months of age at large urban health centers in three major slum communities in Mumbai, India. After domain mapping and item consolidation, exploratory factor analysis identified a single factor among final scale items for each perinatal time period, with Velicer’s Minimum Average Partial (meeting criterion at <0.065) confirming a single factor. Overall, the measure shows good internal reliability and both f...
BackgroundIndia contends with a high rate of intimate partner violence (IPV), which is associated... more BackgroundIndia contends with a high rate of intimate partner violence (IPV), which is associated with unintended pregnancy and reflects low levels of women’s decision-making control in relation to their reproductive health. Few studies from South Asia have examined the relationship between pregnancy decision-making, IPV and unintended pregnancy.AimThis study examined associations between unintended (mistimed and unwanted) pregnancy, women’s reports of pregnancy decided externally by husband or in-laws, and IPV, among a sample of married, postpartum women.MethodsData from the ‘Mechanisms for Relations of Domestic Violence to Poor Maternal and Infant Health in India’ study were analysed. Descriptive comparisons between levels of unintended pregnancy were run on all major variables. Unadjusted and adjusted multinomial logistic regression analyses assessed women’s reports of having externally-decided pregnancies and IPV victimisation in the year prior to pregnancy as factors in mistime...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health ... more Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health problems worldwide. Data on coping mechanism of women within domestic violence (DV) were unexplored.Methods: The objective of the paper was to explore the perceived cause of DV and coping mechanism of women who reported affectionate nature of husband. A community-based intervention study was carried out in urban slums to screen women with an unmet need for family planning. Women reported of DV in the past one year preceding the survey were counselled on marital communication and family planning methods. During these sessions, women shared their views on the cause of DV and their coping mechanism.Results: The narratives of the sessions threw light into the cause of DV, which includes decision-making, the influence of significant others and fewer time couples spent with each other. Affectionate nature and violence by husbands created a conflict of emotions. Fear of loss of the relationship...
The National Family Planning Programme of India had introduced condom as one of the family planni... more The National Family Planning Programme of India had introduced condom as one of the family planning methods in the late 1960s. Condom was promoted as a family planning method through social marketing since its inception. With the increasing prevalence and incidence of sexually transmitted infections (STIs) including HIV/AIDS, condom was also promoted as a dual method for protection against both unintended pregnancies as well as sexually transmitted infections. Despite efforts at various levels, the overall use of condom among couples in India is low. Here we present literature review of studies to understand the condom acceptability among couples in India. Specifically, the paper assesses research and programmes that have been carried out to increase the use of condom among couples; determinants of condom use; reason for not using condom; and perception versus experience of condom failure. The reported problems related to condom use included non acceptance by partner, perceived inef...
A disease prevalence and immunization coverage survey in a typical slum in Bombay in the year 198... more A disease prevalence and immunization coverage survey in a typical slum in Bombay in the year 1988 revealed 93 children with residual poliomyelitis amongst 14,439 children below 9 years of age, indicating high (33.0/100,000 population) annual incidence of poliomyelitis. Only 62 (66.6%) of these 93 lame children sought admission in hospital during the acute phase of illness. The high incidence was attributed to a low immunization (OPV) coverage level in the most vulnerable age group. The immunization coverage for 3 doses of oral polio vaccine below 2 years of age was 43.5%. A large number of children were not commencing their immunization schedule at the right age. The survey indicated a poor "community participation" in the immunization programmes due to a poor "health awareness".
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health ... more Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health problems worldwide. Data on coping mechanism of women within domestic violence (DV) were unexplored.Methods: The objective of the paper was to explore the perceived cause of DV and coping mechanism of women who reported affectionate nature of husband. A community-based intervention study was carried out in urban slums to screen women with an unmet need for family planning. Women reported of DV in the past one year preceding the survey were counselled on marital communication and family planning methods. During these sessions, women shared their views on the cause of DV and their coping mechanism.Results: The narratives of the sessions threw light into the cause of DV, which includes decision-making, the influence of significant others and fewer time couples spent with each other. Affectionate nature and violence by husbands created a conflict of emotions. Fear of loss of the relationship...
Reproductive health concerns of women contending with spousal violence and husband's alcohol... more Reproductive health concerns of women contending with spousal violence and husband's alcohol use in a Mumbai slum community
This study aimed to determine the factors influencing the use of spacing contraceptive methods in... more This study aimed to determine the factors influencing the use of spacing contraceptive methods in India, particularly from men’s perspective. Data were obtained through a semi-structured interview schedule from 2687 married men aged between 18 and 40 years from central Mumbai City, India, during 1999. Chi-squared tests and binary logistic regression analysis was carried out to determine the relationship between various variables and the likelihood of a couple using spacing contraceptive methods. Of the 2687 couples, 1395 (51·9%) were using one or other method of spacing contraceptives and 1292 (48·1%) were not using any method at the time of survey. Male participation in contraceptive use was 23% (condom and withdrawal). The results indicate that the use of spacing contraceptive methods was significantly higher among those couples where the men desired one or two children (OR=4·3), had knowledge of five or more contraceptive methods (OR=1·9) and discussed with their wives obtaining family planning information (OR=3·2), spacing (OR=2·7) and permanent (OR=2) contraceptive methods. Age, income, desired number of children, knowledge of a greater number of contraceptive methods, inter-spouse communication regarding obtaining family planning information, spacing and permanent methods were found to be strong predictors of the use of spacing contraceptive methods. The study underlines the importance of intervention programmes aimed at promoting a small family norm, increasing the number of contraceptive choices available and encouraging inter-spouse communication. Hence, policymakers and programme managers should encourage interventions in this direction, targeting couples to enhance the use of spacing contraceptive methods.
Emerging research has documented non-violent forms of abuse against wives in India. Gender-based ... more Emerging research has documented non-violent forms of abuse against wives in India. Gender-based household maltreatment (GBHM) has been linked to poor maternal and child health outcomes, but the measurement of GBHM requires statistical validation. The objective of this study is to evaluate a new measure of GBHM of women by husbands and in-laws during the perinatal period for validity and internal reliability (before, during, and post pregnancy). This study utilized cross-sectional quantitative data collected from women ( n = 1,049) seeking immunizations for their infants <6 months of age at large urban health centers in three major slum communities in Mumbai, India. After domain mapping and item consolidation, exploratory factor analysis identified a single factor among final scale items for each perinatal time period, with Velicer’s Minimum Average Partial (meeting criterion at <0.065) confirming a single factor. Overall, the measure shows good internal reliability and both f...
BackgroundIndia contends with a high rate of intimate partner violence (IPV), which is associated... more BackgroundIndia contends with a high rate of intimate partner violence (IPV), which is associated with unintended pregnancy and reflects low levels of women’s decision-making control in relation to their reproductive health. Few studies from South Asia have examined the relationship between pregnancy decision-making, IPV and unintended pregnancy.AimThis study examined associations between unintended (mistimed and unwanted) pregnancy, women’s reports of pregnancy decided externally by husband or in-laws, and IPV, among a sample of married, postpartum women.MethodsData from the ‘Mechanisms for Relations of Domestic Violence to Poor Maternal and Infant Health in India’ study were analysed. Descriptive comparisons between levels of unintended pregnancy were run on all major variables. Unadjusted and adjusted multinomial logistic regression analyses assessed women’s reports of having externally-decided pregnancies and IPV victimisation in the year prior to pregnancy as factors in mistime...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health ... more Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health problems worldwide. Data on coping mechanism of women within domestic violence (DV) were unexplored.Methods: The objective of the paper was to explore the perceived cause of DV and coping mechanism of women who reported affectionate nature of husband. A community-based intervention study was carried out in urban slums to screen women with an unmet need for family planning. Women reported of DV in the past one year preceding the survey were counselled on marital communication and family planning methods. During these sessions, women shared their views on the cause of DV and their coping mechanism.Results: The narratives of the sessions threw light into the cause of DV, which includes decision-making, the influence of significant others and fewer time couples spent with each other. Affectionate nature and violence by husbands created a conflict of emotions. Fear of loss of the relationship...
The National Family Planning Programme of India had introduced condom as one of the family planni... more The National Family Planning Programme of India had introduced condom as one of the family planning methods in the late 1960s. Condom was promoted as a family planning method through social marketing since its inception. With the increasing prevalence and incidence of sexually transmitted infections (STIs) including HIV/AIDS, condom was also promoted as a dual method for protection against both unintended pregnancies as well as sexually transmitted infections. Despite efforts at various levels, the overall use of condom among couples in India is low. Here we present literature review of studies to understand the condom acceptability among couples in India. Specifically, the paper assesses research and programmes that have been carried out to increase the use of condom among couples; determinants of condom use; reason for not using condom; and perception versus experience of condom failure. The reported problems related to condom use included non acceptance by partner, perceived inef...
A disease prevalence and immunization coverage survey in a typical slum in Bombay in the year 198... more A disease prevalence and immunization coverage survey in a typical slum in Bombay in the year 1988 revealed 93 children with residual poliomyelitis amongst 14,439 children below 9 years of age, indicating high (33.0/100,000 population) annual incidence of poliomyelitis. Only 62 (66.6%) of these 93 lame children sought admission in hospital during the acute phase of illness. The high incidence was attributed to a low immunization (OPV) coverage level in the most vulnerable age group. The immunization coverage for 3 doses of oral polio vaccine below 2 years of age was 43.5%. A large number of children were not commencing their immunization schedule at the right age. The survey indicated a poor "community participation" in the immunization programmes due to a poor "health awareness".
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health ... more Background: The prevalence of intimate partner violence (IPV) contributed to reproductive health problems worldwide. Data on coping mechanism of women within domestic violence (DV) were unexplored.Methods: The objective of the paper was to explore the perceived cause of DV and coping mechanism of women who reported affectionate nature of husband. A community-based intervention study was carried out in urban slums to screen women with an unmet need for family planning. Women reported of DV in the past one year preceding the survey were counselled on marital communication and family planning methods. During these sessions, women shared their views on the cause of DV and their coping mechanism.Results: The narratives of the sessions threw light into the cause of DV, which includes decision-making, the influence of significant others and fewer time couples spent with each other. Affectionate nature and violence by husbands created a conflict of emotions. Fear of loss of the relationship...
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